Hennepin County Medical Center
Hennepin County Medical Center in Minneapolis charges 4.1x the Medicare reimbursement rate on average, based on analysis of 42 common procedures at this government-owned hospital.
Minneapolis, MN 55415 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
C
Average
Avg markup vs Medicare
4.07x
Charge / Medicare rate
Max markup
7.65x
Worst procedure
Procedures analyzed
42
With pricing data
Outlier procedures
7.1%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $214,705 | $107,352 | — | 7.7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $203,433 | $101,716 | — | 6.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $53,525 | $26,762 | — | 5.6x |
| OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | 958 | $197,130 | $98,565 | — | 5.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $59,865 | $29,932 | — | 5.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $153,167 | $76,583 | — | 5.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $44,901 | $22,451 | — | 5.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $70,934 | $35,467 | — | 4.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $154,550 | $77,275 | — | 4.6x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $55,755 | $27,877 | — | 4.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $45,453 | $22,727 | — | 4.6x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $39,551 | $19,775 | — | 4.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $63,005 | $31,502 | — | 4.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $69,020 | $34,510 | — | 4.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $56,969 | $28,484 | — | 4.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $254,539 | $127,270 | — | 4.4x |
| SYNCOPE AND COLLAPSE | 312 | $38,728 | $19,364 | — | 4.2x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $202,269 | $101,135 | — | 4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $133,403 | $66,701 | — | 4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $84,408 | $42,204 | — | 4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $85,677 | $42,838 | — | 4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $81,571 | $40,785 | — | 4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $107,424 | $53,712 | — | 3.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $139,397 | $69,699 | — | 3.9x |
| SEIZURES WITH MCC | 100 | $93,425 | $46,712 | — | 3.9x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $70,824 | $35,412 | — | 3.9x |
| RENAL FAILURE WITH MCC | 682 | $68,166 | $34,083 | — | 3.8x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $212,096 | $106,048 | — | 3.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $30,416 | $15,208 | — | 3.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $74,837 | $37,418 | — | 3.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $62,791 | $31,396 | — | 3.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $42,940 | $21,470 | — | 3.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $35,012 | $17,506 | — | 3.2x |
| RENAL FAILURE WITH CC | 683 | $31,101 | $15,551 | — | 3.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $218,505 | $109,253 | — | 3.2x |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $791,785 | $395,892 | — | 3.2x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $149,939 | $74,970 | — | 3.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $61,841 | $30,920 | — | 3x |
| CELLULITIS WITHOUT MCC | 603 | $25,803 | $12,901 | — | 2.8x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $184,328 | $92,164 | — | 2.8x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $48,718 | $24,359 | — | 2.4x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | 896 | $39,785 | $19,892 | — | 2.2x |
How HENNEPIN COUNTY MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use